| NPI | 1063878213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER CHRISTINE KELLY Asst Director Of Behavioral Health 217-273-5398 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 149004958) |
| Enumeration Date | 2016-01-04 |
| Last Update Date | 2024-06-10 |